Individual provider Active NPI

Bryana Miyabara-Treschuk

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1013363316
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN - 1688 Issued in HI
Practice address
521 Ala Moana Blvd Ste 261
Honolulu, HI 96813-4924
Phone
(808) 888-4736
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN - 1688 HI
Nurse Practitioner 363L00000X APRN - 1688 HI Primary
Registered Nurse 163W00000X RN - 69133 HI

Addresses

Primary practice location

521 Ala Moana Blvd Ste 261
Honolulu, HI 96813-4924

Mailing address

1364 Ala Mahamoe St
Honolulu, HI 96819-1700
Phone (808) 208-6509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408001616 HI Practitioner - Nurse Practitioner 4688003981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN - 69133HIMDRegistered Nurse
APRN - 1688HIMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bryana.gamido@hawaiihie.medicity.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1013363316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 ALA MAHAMOE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191700",
            "telephone_number": "808-208-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ALA MOANA BLVD STE 261",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134924",
            "telephone_number": "808-888-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYABARA-TRESCHUK",
        "first_name": "BRYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "APRN - 1688",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN - 1688",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN - 69133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.